SB 3/HB 5 Close the Medicaid Coverage Gap

Primary House Sponsors: Rep. Gale Adcock (D-Wake) Rep. Carla Cunningham (D-Mecklenburg), Rep. Verla Insko (D-Orange), Rep. Jean Farmer Butterfield (D-Wilson)

Primary Senate Sponsors: Sen. Ben Clark (D-Hoke), Sen. Dan Blue (D-Wake), Sen. Gladys Robinson (R-Guilford)

Bill Summary

This bill would provide qualified individuals insurance coverage in the Medicaid coverage gap.

Individuals would be required to meet the following requirements:

  • Gross income at or below 133% of the federal of the federal poverty level
  • Between the ages of 19-65
  • Not entitled to or enrolled in Medicare Part A or Part B
  • Not eligible for Medicaid coverage under NC State Plan as it existed on January 1, 2019.

Beneficiaries would receive benefits through an Alternative Benefit Plan established by the Department Consistent with federal requirements.

Co-payments for benefits shall be the same as copayments required for Medicaid beneficiaries not under the Alternative Benefit Plan.

Bill Movement

House

This bill was filed on January 30, 2019.

This bill was referred to the following Committees:

  • Health
  • Appropriations
  • Rules

Senate

This bill was filed on January 30, 2019.

This bill was referred to the Senate Rules Committee.